Organization Active NPI

Back 2 Life Chiropractic

  • Chiropractor
  • Lakewood, WA
National Provider Identifier
1881214617
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BACK 2 LIFE CHIROPRACTIC
Doing business as
Ruckers Chiropractic
Practice address
8409 Spruce St SW
Lakewood, WA 98498-2343
Phone
(253) 495-6100
NPI assigned
Apr 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jorge Ivan Sanchez, DC
Title
Doctor/Ceo
Phone
(253) 495-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

8409 Spruce St SW
Lakewood, WA 98498-2343

Mailing address

8409 Spruce St SW
Lakewood, WA 98498-2343
Phone (253) 495-6100

Other names 1

  • Ruckers Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

215 Wilkes St
Ste 104
Steilacoom, WA 98388
Phone (253) 248-7888

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1881214617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8409 SPRUCE ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984982343",
            "telephone_number": "253-495-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8409 SPRUCE ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984982343",
            "telephone_number": "253-495-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK 2 LIFE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "DOCTOR/CEO",
        "authorized_official_telephone_number": "253-495-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ruckers Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.